institution
Dr Mark F Ellis Dpma Professional Medical Corporation
Foot Surgery Podiatrist in Lafayette, Louisiana
NPI 1811934268

Dr Mark F Ellis Dpma Professional Medical Corporation is a Foot Surgery Podiatrist based in Lafayette, LA and is specialized in Foot Surgery. Dr Mark F Ellis Dpma Professional Medical Corporation practices in Lafayette, LA. The NPI Number for Dr Mark F Ellis Dpma Professional Medical Corporation is 1811934268 and holds a License No. 1670511 (Louisiana).

The current practice location address for Dr Mark F Ellis Dpma Professional Medical Corporation is 501 W Saint Mary Blvd, Lafayette, LA and can be reached out via phone at 337-593-1278 and via fax at 337-593-1280. You can also correspond with Dr Mark F Ellis Dpma Professional Medical Corporation through the mailing address at 501 W SAINT MARY BLVD, LAFAYETTE, LA - 70506-4600 (mailing address contact number: 337-593-1278).

Location: 501 W Saint Mary Blvd, Lafayette, LA, 70506-4600
institution
Provider Profile Details
NPI Number
1811934268
Provider Name
Dr Mark F Ellis Dpma Professional Medical Corporation
Credential
Provider Entity Type
Organization
Address
501 W Saint Mary Blvd, Lafayette, LA, 70506-4600
Phone Number
337-593-1278
Fax Number
337-593-1280
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1670511 05 LA
institution
Provider Business Practice Location Address Details
Address
501 W Saint Mary Blvd
City
State
Zip
70506-4600
Phone Number
337-593-1278
Fax Number
337-593-1280
person
Provider Business Mailing Address Details
Address
501 W Saint Mary Blvd
City
State
Zip
70506-4600
Phone Number
337-593-1278
Fax Number
337-593-1280
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
1670511 (Louisiana)
Definition
Definition to come...
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